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SPNS Initiative: SURE Housing Initiative (2022-2026)
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32 Years: Ryan White HIV/AIDS Program
August 18, 2022 marks the 32nd anniversary of the Ryan White HIV/AIDS Program.Blog updated 10/04/2022
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Tailored Motivational Interviewing: E2i
Tailored Motivational Interviewing (TMI) delivers brief motivational interviewing counseling sessions customized to encourage people with HIV to engage in HIV care, take HIV medications as prescribed, and improve other health-related behaviors. Three sites implemented TMI as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. Clients who participated in TMI had significant improvement in engagement in care, prescription of antiretroviral therapy, retention in care, and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth: E2i
The Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT) is designed to keep young people, particularly young, Black, gay, bisexual, same-gender loving, and other men who have sex with men, engaged in HIV medical care, by delivering personalized, daily, interactive text messages that remind them to take their antiretroviral therapy as prescribed. Two sites implemented TXTXT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. The intervention resulted in a statistically significant improvement in engagement in HIV care.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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E-VOLUTION
E-VOLUTION is a two-way text messaging intervention, originally developed by Washington University School of Medicine and piloted at Project ARK. The intervention focuses on improving health outcomes for youth, particularly young Black men who have sex with men. E-VOLUTION was designed for people ages 18-29 who have HIV and are receiving clinical care but require support to remain adherent. E-VOLUTION was evaluated and found to improve viral suppression and retention in care rates.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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Key Program Characteristics from Three Effective Ryan White-Funded Rapid ART Sites in the U.S.
Results of SPNS initiative's virtual field visits to identify rapid ART implementation insights in RWHAP settings across the U.S.
Resource (Conference Presentation) updated 09/14/2023
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The Science of Implementing Equity: Utilizing an Implementation Science Framework to Improve Equity
Review of challenges, facilitators, and best practices for routine screening, linkage, and rapid ART in two emergency departments, including during COVID-19.
Resource (Conference Presentation) updated 09/14/2023
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Rapid Start Collaborative Initiative: Enhancing Access to Care for People with HIV in Virginia
Review of rapid antiretroviral treatment programs implemented at 15 Virginia RWHAP sites, including insights and future quality improvement activities focused on the Ending the Epidemic initiative.
Resource (Conference Presentation) updated 12/11/2023
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Closing Linkage-to-Care Gaps for Clients in Ryan White Program Clinics: The SPNS Rapid Start Initiative
Description of various models in the RWHAP SPNS Rapid Start initiative and data on their impact, using initiative-wide data.
Resource (Conference Presentation) updated 09/14/2023
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How AETCs, Emergency Departments, and Health Jurisdictions Can Identify and Treat HIV, HCV, and Syphilis
Review of challenges, facilitators, and best practices for routine screening, linkage, and rapid ART in two emergency departments, including during COVID-19.
Resource (Conference Presentation) updated 09/14/2023
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Same Day Start – Linkage to Care and Initiating Antiretrovirals after Rapid Reactive HIV Result
Same Day Start rapid ART program in Kansas City, under which 74 percent of participants reaching viral suppression.
Resource (Conference Presentation) updated 09/14/2023
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Ending the HIV Epidemic through a Rapid stART Community-Wide Implementation and Beyond
Discussion on how to leverage CAREWare data integration to develop an innovative data reporting tool to assist with a community-wide Rapid stART protocol
Resource (Conference Presentation) updated 09/14/2023
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A Rapid stART Jurisdiction-Wide Approach in the Pursuit of Ending the HIV Epidemic
Discussion of how to leverage a learning collaborative methodology to plan, implement, and sustain a jurisdiction-wide Rapid stART initiative.
Resource (Conference Presentation) updated 09/14/2023
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Collaborating and Innovating with Emergency Departments to End the HIV Epidemic: Experiences from Tarrant County
Description of how an EHE program partnered with an emergency department and other stakeholders to reduce the time to ART from over 30 days to three days or same-day rapid ART.
Resource (Conference Presentation) updated 09/14/2023
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Project Strength Through Youth Livin' Empowered (STYLE) 2.0
STYLE 2.0 is a multi-component intervention designed to help reduce stigma and social isolation for Black gay, bisexual, and other men who have sex with men. The intervention relies on health care navigators who facilitate linkage and engagement activities. They also connect clients to behavioral health providers who conduct motivational interviewing, as well as to a mobile application that supports all intervention activities. STYLE 2.0 participation has been associated with positive trends across HIV care continuum outcomes, including retention in care and increased viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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weCare Social Media Intervention
In weCare, a cyber health educator sent personalized messages through text, web-based apps, and Facebook to enrolled youth who identified as gay, bisexual, or other men who have sex with men (MSM), or transgender women, and who either had a new diagnosis of HIV or were not in care at the time of enrollment. Messages were personalized to each participant’s needs and were designed to support them as they navigated complicated health care systems as well as other challenges that affect care engagement (e.g., transportation, disclosure). The cyber health educator also moderated and posted information about health and well-being on an optional secret Facebook page that some participants chose to join. Participants were less likely to miss medical appointments and more likely to be virally suppressed after 12 months of the intervention.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Rapid Start Cost Estimation Tool
The Rapid Start Cost Estimation Tool will help you estimate the additional costs needed to support the planning, implementation, and management of Rapid Start services in your clinical setting.Resource updated 09/19/2023
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Compendium of Best Practices in Provision of Rapid Start Services for People with HIV
Best practices, and service delivery models, that facilitate the delivery of effective Rapid Start services in diverse RWHAP-funded provider settings.Resource updated 09/19/2023
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Ending the HIV Epidemic in the United States: From Vision to Practice
Opportunity for RWHAP Part B EHE recipients to share and discuss effective approaches to linkage to care, designing successful messaging campaigns and implementing Rapid Start.Resource (Conference Presentation) updated 09/14/2023